Isthmocele: A Post-Cesarean Condition Isthmocele is a uterine defect that forms at the site of a cesarean scar. Over time, toxic fluid can accumulate in this area, potentially impacting fertility. This condition affects approximately 20% of individuals following a C-section and may present with symptoms such as abnormal bleeding, severe menstrual pain, or chronic pelvic pain. With the increasing prevalence of C-sections, awareness of isthmocele is essential, as untreated cases can lead to complications like cesarean scar pregnancy, uterine rupture, or infertility.
Role of Isthmocele Repair A complex surgery, the Isthmocele Repair helps to support future pregnancies. A skilled surgeon can pinpoint the exact location of the defect, excise it completely, and ensure perfect approximation to achieve excellent results. The surgery can be performed using both laparoscopic and robotic techniques. However, results are better with robotic surgery, as it offers immersive 3D vision, which aids in identifying the defect’s precise location. The dexterity of the instruments allows for excellent suturing and correction of the defect.
“ The surgery can be performed using both laparoscopic and robotic techniques. However, results are better with robotic surgery, as it offers immersive 3D vision, which aids in identifying the defect’s precise location Dr. Sandesh Kade , Gynecologist Surgeon (Specialist in Laparoscopic, Endometriosis & Pelvic Floor Repair Surgeries), BMC
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